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Post-Dural Puncture Headache
Clinical Pathways promote evidence based, safe, and high-value care for patients by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject...
End of Life Resources and Support
When a child dies booklet Guides for parents: End of life for your child: Preparing, Part 1 End of life for your child: What to expect, Part 2 Understanding nutritional needs These pathways do not establish...
Toddler Tibia Fracture: Evidence Supporting 3rd View
Noe, M. C., Jarka, D. E., Sinclair, M. K., & Grote, C. W. (2025). Toddler’s fracture: an updated guide on evaluation and management. Journal of Pediatric Orthopaedics B, 34(2), 193-197. Tenenbein...
Shock
Shock is defined as use of vasoactive agents such as: -Epinephrine/norepinephrine, dopamine, dobutamine, milrinone, nitroprusside.
High Dose Systemic Thrombolysis
tPA 0.1-0.6 mg/kg/hr x6 hrs Adult dosing for pts >16 yrs and > 60 kg: Alteplase 100 mg over 2 hrs IV (if no concurrent anticoagulation therapy). These pathways do not establish a standard of care to...
Initiation, Maintenance and Duration of Therapy
This clinical pathway is not intended for patients on ECMO, cardiac bypass pump, hemodialysis or continuous renal replacement therapy. Refer to specific guidelines for these situations. Initiation of...
Juvenile Vasculitis
What is vasculitis? Resources Vasculitis is a term for a group of rare diseases that cause inflammation of the blood vessels (arteries and veins). The different types of vasculitis vary in severity from...
Kyphosis
What is kyphosis? When the trunk is viewed from the side, the back of the upper chest area has a normal rounded appearance called kyphosis. When this curve becomes excessive, it is referred to as...
Triosephosphate Isomerase Deficiency: Wyatt's Story
Four-year-old Wyatt Haney has been fighting for his life since the day he was born at a Joplin, Mo., hospital. “Within a few hours of Wyatt’s birth, he literally turned a ‘Shrek-like shade of green,’”
Soft Tissue and Bone Sarcomas
Soft tissue and bone sarcomas are relatively rare cancers but affect a disproportionate number of adolescents and young adults. At the first suspicion of a cancerous bone or soft tissue tumor, we urge...
COVID-19 Vaccine FAQ
There is a lot of information out there about the COVID-19 vaccines. Get answers to frequently asked questions from the experts at Children's Mercy.
Champions in Action
Learn about how our community of champions are making an impact when it comes to fundraising for the patients and families at Children's Mercy.
Preparing for a Bone Scan
The team at Children's Mercy has this information to answer your questions and help you prepare your child for their visit. When you arrive at the radiology department, your child will have an...
Doxycycline for treatment of chlamydia
Changing treatment recommendations for Chlamydia trachomatis from single dose azithromycin to 7 days of treatment with doxycycline has opened the door of adherence concerns for young adult and adolescent...
IV Contrast for MRI and CT: Population at Risk for Acute Kidney Injury
Stem cell transplant Acute or past treatment of oncologic disease Congenital heart disease Undergoing cardiopulmonary bypass Single ventricle physiology History of heart transplant Solid organ transplant...
Consider Additional Consults
Consider additional consults to: Either Allergy & Immunology OR Pulmonology. Social Work. Environmental Health. Indications for all 3 consults: > 4 ED/UCC/Inpatient episodes in the past 12 months...
Criteria for Transfer to Higher Level of Care
Hypotension Impending airway obstruction Need for Epi drip >1 dose of Epi given These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is...
Sepsis Huddle
(can be initiated by any member of the care team at any time when there is a concern) Intended to identify evidence of organ dysfunction Conduct huddle at beside, if possible Discuss clinical exam findings...
Albuterol
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Neisseria Gonorrhea
Similar to infection with C. trachomatis, infection from N. gonorrhea among neonates results from perinatal exposure to the mother’s infected cervix. Acute illness typically is seen between 2 and 5 days...